﻿<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.4/jquery.min.js"></script>

    <!-- Custom styles for this template -->
    <link href="js/jquery.js">
    <link href="examples/signin/signin.css" rel="stylesheet">
	<link href="css/bootstrap.css">

<style type="text/css">
.formCadastrar{
	margin-left: 100px;
	margin-top: -120px;
	text-align: left;
	}
.h2left{
	margin-left:200px;
	text-align: left;
	}
.Dpergunta {
	font-size: 24px;
	font-weight: bold;
}

.Altenativa {
	font-size: 24px;
	font-weight: bold;
}

.botao{
	color: #ffffff;
background-color: #428bca;
border-color: #357ebd;
width:89px;
height:34px;
border-radius:5px;
display:
	}	

</style>


<div class="img">
	<a href="indexLogadoAdm.php"> 	<img src="img/victim.jpg" width="183" height="117"></a>
</div> 


<div class="formCadastrar">
<br>
<div class="page-header">
  <h2 class="h2left">Cadastrar Questionário</h2>
</div>

<form class="form-horizontal" role="form" action="actionCadastrarQuestionario.php" name="cadasQuestio" enctype="multipart/form-data" method="post">

	<div class="form-group">
    <label for="txtnomeperg" id="Dpergunta">Digite a pergunta<br>
      <textarea name="pergunta" id="pergunta" rows="3" cols="50px" placeholder="Pergunta"></textarea>
    </label>
 	</div>
  
  	<div class="form-group">
  	<label>
       	<input type="text" class="form-control" name="txtAlternativas1" id="txtAlternativas1" placeholder="Alternativa1" size="47"  height="20px"/>
  	</label>
    <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa1" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa1" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa1" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa1" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa1" VALUE="0"> 0%
    </div>    
    </div>
    <br>
  <div class="form-group">
  	<label>
        <input type="text" class="form-control" name="txtAlternativas2" id="txtAlternativas2" size="47" placeholder="Alternativa 2" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa2" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa2" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa2" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa2" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa2" VALUE="0"> 0%
    </div>  
</div>
    <br>
<div class="form-group">
  	<label>
     	<input type="text" class="form-control" name="txtAlternativas3" size="47" placeholder="Alternativa 3" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa3" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa3" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa3" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa3" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa3" VALUE="0"> 0%
    </div>  
</div>
	<br>
<div class="form-group">
  	<label>
  		<input type="text" class="form-control" name="txtAlternativas4" size="47" placeholder="Alternativa 4" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa4" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa4" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa4" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa4" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa4" VALUE="0"> 0%
    </div>  
</div>
 	<div class="form-group">
  	<label>
       	<input type="text" class="form-control" name="txtAlternativas5" id="txtAlternativas1" placeholder="Alternativa 5" size="47"  height="20px"/>
  	</label>
    <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa5" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa5" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa5" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa5" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa5" VALUE="0"> 0%
    </div>    
    </div>
    <br>
  <div class="form-group">
  	<label>
        <input type="text" class="form-control" name="txtAlternativas6" size="47" placeholder="Alternativa 6" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa6" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa6" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa6" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa6" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa6" VALUE="0"> 0%
    </div>  
</div>
    <br>
<div class="form-group">
  	<label>
     	<input type="text" class="form-control" name="txtAlternativas7" size="47" placeholder="Alternativa 7" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa7" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa7" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa7" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa7" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa7" VALUE="0"> 0%
    </div>  
</div>
	<br>
<div class="form-group">
  	<label>
  		<input type="text" class="form-control" name="txtAlternativas8" size="47" placeholder="Alternativa 8" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa8" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa8" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa8" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa8" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa8" VALUE="0"> 0%
    </div>  
</div>
<div class="form-group">
  	<label>
     	<input type="text" class="form-control" name="txtAlternativas9" size="47" placeholder="Alternativa 9" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa9" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa9" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa9" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa9" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa9" VALUE="0"> 0%
    </div>  
</div>
	<br>
<div class="form-group">
  	<label>
  		<input type="text" class="form-control" name="txtAlternativas10" size="47" placeholder="Alternativa 10" />
  	</label>
       <div>
    <INPUT TYPE="RADIO" NAME="nivelAlternativa10" VALUE="100"> 100%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa10" VALUE="75"> 75
    <INPUT TYPE="RADIO" NAME="nivelAlternativa10" VALUE="50"> 50%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa10" VALUE="25"> 25%
    <INPUT TYPE="RADIO" NAME="nivelAlternativa10" VALUE="0"> 0%
    </div>  
</div>
	<br><br>
  	<div class="col-sm-offset-2 col-sm-10">
  		<button type="submit" class="btn btn-primary" name="CadastrarQuestionario" Onclick="return verifica()">Salvar</button>
  		<input name="limparDados" type="reset" class="btn btn-primary" id="limparDados" value="Limpar Dados" size="10"></input>
        <a href="indexLogadoAdm.php"><input name="cancelar" class="btn btn-primary" value="Cancelar" size="8"></input></a>
  </div>
</div>    
</form> 
                                                                             